The development and testing of an instrument for perceived self-efficacy for fatigue self-management

Amy J Hoffman, Alexander Von Eye, Audrey G. Gift, Barbara A. Given, Charles W. Given, Marilyn Rothert

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background: Persons with chronic illness commonly report fatigue. Measurement of perceived self-efficacy for fatigue self-management (PSEFSM) is essential if fatigue is to be monitored and enhanced to improve physical functional status. Objective: The objective of the study was to describe the development and testing of the PSEFSM instrument. Methods: The PSEFSM instrument was incorporated into 2 randomized controlled trials for secondary analysis (N = 298): 63 persons with lung cancer and 235 persons with other cancer diagnoses undergoing a course of chemotherapy. Results: Evidence for construct validity and generalizability was supported through hypotheses testing of the mediation pathway from fatigue to physical functional status through PSEFSM, with results indicating support for partial mediation. Structural modeling indicated a good model fit that further supported the construct validity of the PSEFSM instrument. Conclusions: The instrument provides a reliable and valid measure of PSEFSM that could be used in research to facilitate the development of interventions to increase perceived self-efficacy to achieve optimal symptom self-management. Implications For Practice: The PSEFSM instrument is brief and easy to complete, which results in a low response burden for persons who are already fatigued, providing for regular use in transdisciplinary research and practice settings. This is important because the use of this instrument can impact how we partner with our patients to better understand how to manage this troublesome symptom, fatigue.

Original languageEnglish (US)
Pages (from-to)167-175
Number of pages9
JournalCancer Nursing
Volume34
Issue number3
DOIs
StatePublished - May 1 2011

Fingerprint

Self Efficacy
Self Care
Fatigue
Research
Lung Neoplasms
Chronic Disease
Randomized Controlled Trials
Drug Therapy

Keywords

  • Bandura
  • Cancer
  • Chronic illness
  • Fatigue
  • Oncology
  • Self-efficacy
  • Self-management
  • Symptom management
  • Symptoms

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

Cite this

The development and testing of an instrument for perceived self-efficacy for fatigue self-management. / Hoffman, Amy J; Von Eye, Alexander; Gift, Audrey G.; Given, Barbara A.; Given, Charles W.; Rothert, Marilyn.

In: Cancer Nursing, Vol. 34, No. 3, 01.05.2011, p. 167-175.

Research output: Contribution to journalArticle

Hoffman, Amy J ; Von Eye, Alexander ; Gift, Audrey G. ; Given, Barbara A. ; Given, Charles W. ; Rothert, Marilyn. / The development and testing of an instrument for perceived self-efficacy for fatigue self-management. In: Cancer Nursing. 2011 ; Vol. 34, No. 3. pp. 167-175.
@article{c782d0ab3db0494394789fb7f5b61977,
title = "The development and testing of an instrument for perceived self-efficacy for fatigue self-management",
abstract = "Background: Persons with chronic illness commonly report fatigue. Measurement of perceived self-efficacy for fatigue self-management (PSEFSM) is essential if fatigue is to be monitored and enhanced to improve physical functional status. Objective: The objective of the study was to describe the development and testing of the PSEFSM instrument. Methods: The PSEFSM instrument was incorporated into 2 randomized controlled trials for secondary analysis (N = 298): 63 persons with lung cancer and 235 persons with other cancer diagnoses undergoing a course of chemotherapy. Results: Evidence for construct validity and generalizability was supported through hypotheses testing of the mediation pathway from fatigue to physical functional status through PSEFSM, with results indicating support for partial mediation. Structural modeling indicated a good model fit that further supported the construct validity of the PSEFSM instrument. Conclusions: The instrument provides a reliable and valid measure of PSEFSM that could be used in research to facilitate the development of interventions to increase perceived self-efficacy to achieve optimal symptom self-management. Implications For Practice: The PSEFSM instrument is brief and easy to complete, which results in a low response burden for persons who are already fatigued, providing for regular use in transdisciplinary research and practice settings. This is important because the use of this instrument can impact how we partner with our patients to better understand how to manage this troublesome symptom, fatigue.",
keywords = "Bandura, Cancer, Chronic illness, Fatigue, Oncology, Self-efficacy, Self-management, Symptom management, Symptoms",
author = "Hoffman, {Amy J} and {Von Eye}, Alexander and Gift, {Audrey G.} and Given, {Barbara A.} and Given, {Charles W.} and Marilyn Rothert",
year = "2011",
month = "5",
day = "1",
doi = "10.1097/NCC.0b013e31820f4ed1",
language = "English (US)",
volume = "34",
pages = "167--175",
journal = "Cancer Nursing",
issn = "0162-220X",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - The development and testing of an instrument for perceived self-efficacy for fatigue self-management

AU - Hoffman, Amy J

AU - Von Eye, Alexander

AU - Gift, Audrey G.

AU - Given, Barbara A.

AU - Given, Charles W.

AU - Rothert, Marilyn

PY - 2011/5/1

Y1 - 2011/5/1

N2 - Background: Persons with chronic illness commonly report fatigue. Measurement of perceived self-efficacy for fatigue self-management (PSEFSM) is essential if fatigue is to be monitored and enhanced to improve physical functional status. Objective: The objective of the study was to describe the development and testing of the PSEFSM instrument. Methods: The PSEFSM instrument was incorporated into 2 randomized controlled trials for secondary analysis (N = 298): 63 persons with lung cancer and 235 persons with other cancer diagnoses undergoing a course of chemotherapy. Results: Evidence for construct validity and generalizability was supported through hypotheses testing of the mediation pathway from fatigue to physical functional status through PSEFSM, with results indicating support for partial mediation. Structural modeling indicated a good model fit that further supported the construct validity of the PSEFSM instrument. Conclusions: The instrument provides a reliable and valid measure of PSEFSM that could be used in research to facilitate the development of interventions to increase perceived self-efficacy to achieve optimal symptom self-management. Implications For Practice: The PSEFSM instrument is brief and easy to complete, which results in a low response burden for persons who are already fatigued, providing for regular use in transdisciplinary research and practice settings. This is important because the use of this instrument can impact how we partner with our patients to better understand how to manage this troublesome symptom, fatigue.

AB - Background: Persons with chronic illness commonly report fatigue. Measurement of perceived self-efficacy for fatigue self-management (PSEFSM) is essential if fatigue is to be monitored and enhanced to improve physical functional status. Objective: The objective of the study was to describe the development and testing of the PSEFSM instrument. Methods: The PSEFSM instrument was incorporated into 2 randomized controlled trials for secondary analysis (N = 298): 63 persons with lung cancer and 235 persons with other cancer diagnoses undergoing a course of chemotherapy. Results: Evidence for construct validity and generalizability was supported through hypotheses testing of the mediation pathway from fatigue to physical functional status through PSEFSM, with results indicating support for partial mediation. Structural modeling indicated a good model fit that further supported the construct validity of the PSEFSM instrument. Conclusions: The instrument provides a reliable and valid measure of PSEFSM that could be used in research to facilitate the development of interventions to increase perceived self-efficacy to achieve optimal symptom self-management. Implications For Practice: The PSEFSM instrument is brief and easy to complete, which results in a low response burden for persons who are already fatigued, providing for regular use in transdisciplinary research and practice settings. This is important because the use of this instrument can impact how we partner with our patients to better understand how to manage this troublesome symptom, fatigue.

KW - Bandura

KW - Cancer

KW - Chronic illness

KW - Fatigue

KW - Oncology

KW - Self-efficacy

KW - Self-management

KW - Symptom management

KW - Symptoms

UR - http://www.scopus.com/inward/record.url?scp=79955558871&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955558871&partnerID=8YFLogxK

U2 - 10.1097/NCC.0b013e31820f4ed1

DO - 10.1097/NCC.0b013e31820f4ed1

M3 - Article

VL - 34

SP - 167

EP - 175

JO - Cancer Nursing

JF - Cancer Nursing

SN - 0162-220X

IS - 3

ER -